持续质量改进对结核病患者护理质量的影响研究.docVIP

精品论文 参考文献 持续质量改进对结核病患者护理质量的影响研究 高 云 　　山东省胸科医院 250013 　　【摘 要】目的：探究护理质量持续改进对结核病患者预后的影响。方法：将我院自2012年1月～2014年6月收治的400例结核患者作为研究对象，随机分为观察组和对照组，各200例，对照组在患者常规的护理指导，观察组在此基础上实施持续护理质量改进，对比两组患者护理质量、满意度、遵医行为及结核病的复发率。结果：实施持续质量改进的优质护理服务后，基础护理的合格率、护理质量合格率、服务质量的合格率及病区管理合格率等基本指标均有显著提升，实施前后有统计学意义(Plt;0．05)。通过护理质量改进措施之后，观察组患者的护理满意度92.5%，显著高于对照组患者73.0%，有统计学差异(Plt;0．05)。6个月后对两组患者的遵医行为进行比较发现，观察组的遵医行为显著优于对照组（P＜0.05），观察组复发率（2.50%）也远远小于对照组复发率（14.00%）（P＜0.05），差异均有统计学意义。结论：结核病患者进行持续护理质量改进，能显著提高护理质量，增加患者的遵医行为，降低疾病的复发率，有积极的临床意义。 　　【关键词】持续质量改进；结核病；患者护理质量；遵医行为 　　【中图分类号】R47 【文献标识码】B 【文章编号】1674-8999（2015）9-0739-02 　　Research on the continuous quality improvement impact of the care for patients with thoracic tuberculosis 　　Gao Yun 　　Shandong provincial Chest Hospital 　　【Abstract】Objective: To explore the quality improvement on the prognosis of patients with tuberculosis. Methods: In our hospital from January 2012 to June 2014in our hospital, 400 cases of tuberculosis patients were selected as the research object, they were randomly divided into observation group and control group, 200 cases in each group , the patients in control group were given routine guide care , based on the implementation of the control group， the observation group were given continuous nursing quality improvement , compared two groups of patients about the nursing quality satisfaction, compliance behavior and tuberculosis recurrence rate. Results: After the implementation of high quality nursing service continuous quality improvement, the basic indicator of basic nursing, nursing quality qualified rate of qualified rate, service quality qualified rate and qualified rate of ward management had improved significantly before and after the implementation, with statistical significance (Plt;0.05). After the improvement the quality of care, nursing satisfaction of patients in the observation group was 92.5%， it was significantly higher than 73% in the control group, there was significant difference (Plt;0.05). 6 months a